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Individual

MARCIA ROSE LOCKE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1035 CRESWELL AVE, SHREVEPORT, LA 71101-3917
(318) 676-5222
Mailing address
1035 CRESWELL AVE, SHREVEPORT, LA 71101-3917

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN149320
LA

Other

Enumeration date
05/14/2021
Last updated
05/14/2021
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